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Kaiser Foundation Health Plan Of The Northwest
Managed Care Organization Pharmacy in Hillsboro, Oregon
NPI 1124462940

Kaiser Foundation Health Plan Of The Northwest is a Managed Care Organization Pharmacy based in Portland, OR and is specialized in Managed Care Organization Pharmacy. Kaiser Foundation Health Plan Of The Northwest practices in Hillsboro, OR. The NPI Number for Kaiser Foundation Health Plan Of The Northwest is 1124462940 and holds a License No. 0002241 (Oregon).

The current practice location address for Kaiser Foundation Health Plan Of The Northwest is 2875 Nw Stucki Ave, Hillsboro, OR and can be reached out via phone at 866-280-0511 and via fax at 971-310-3351.

Location: 2875 Nw Stucki Ave, Hillsboro, OR, 97230-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124462940
Provider Name
Kaiser Foundation Health Plan Of The Northwest
Credential
Provider Entity Type
Organization
Address
2875 Nw Stucki Ave, Hillsboro, OR, 97230-3409
Phone Number
866-280-0511
Fax Number
971-310-3351
Provider Enumeration Date
04/23/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3844708 01 NCPDP
RP-0002771-CS 01 OR BOP LICENSE
2038157 05 WA
50065832 05 OR
institution
Provider Business Practice Location Address Details
Address
2875 Nw Stucki Ave
City
Hillsboro
State
Oregon
Zip
97124-5806
Phone Number
866-280-0511
Fax Number
971-310-3351
person
Provider Business Mailing Address Details
Address
2875 Nw Stucki Ave
City
Hillsboro
State
Oregon
Zip
97124-5806
Phone Number
866-280-0511
Fax Number
971-310-3351
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
3336C0002X
License No.
0002771 (Oregon)
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Pharmacy
Speciality
Managed Care Organization Pharmacy
Taxonomy
3336M0003X
License No.
0002241 (Oregon)
Definition
A pharmacy owned by a managed care organization (MCO) used by pharmacists for the compounding and dispensing of medicinal preparations to that MCO's covered members only.
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